Active NPI
Stephanie L Gibson, MD
- Internal Medicine Physician
- Newton, KS
National Provider Identifier
1679503262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28096
- Practice address
- 600 Medical Center Dr
Newton, KS 67114-8780 - Phone
- (316) 283-2700
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28096 | KS | Primary |
Addresses
Primary practice location
600 Medical Center Dr
Newton, KS 67114-8780
Mailing address
PO Box 308
Newton, KS 67114-0308
Phone (316) 283-2700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100334990A | Medicaid | KS | |
| 11522 | Other | KS | PHS |
| 16991 | Other | KS | COVENTRY |
| 100237 | Other | KS | HPK |
| 12149528 | Other | KS | MULTIPLAN |
| 054904 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.75 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 86.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28096 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Healthcare Corporation | Past | Accepting new patients | |
| Executive Court Medical Associates Inc. | Past | Accepting new patients |
Interoperability endpoints
- stephanie.gibson@khindirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Newton, KS
- NPI 1245238435
-
- Family Medicine Physician
- Norwalk, OH
- NPI 1184794885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1679503262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140308",
"telephone_number": "316-283-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MEDICAL CENTER DR",
"city": "NEWTON",
"state": "KS",
"postal_code": "671148780",
"telephone_number": "316-283-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "28096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100334990A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "11522",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "16991",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPK",
"identifier": "100237",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12149528",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "054904",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.